# SOUTH BAY OBGYN PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Bay Obstetrics Gynecology PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376655621
- **Authorized official:** MS. DENISE E LESTER MD (PHYSICIAN PRESIDENT OF PC)
- **Authorized official phone:** (631) 587-2500

## Contact information

- **Practice address:** 320 MONTAUK HWY, SOUTH BAY OBGYN PC, WEST ISLIP, NY 11795-4401
- **Practice address phone:** (631) 587-2500
- **Practice address fax:** (631) 587-0292
- **Mailing address:** 320 MONTAUK HWY, SOUTH BAY OBGYN PC, WEST ISLIP, NY 11795-4401
- **Mailing address phone:** (631) 587-2500
- **Mailing address fax:** (631) 587-0292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 05/03/2011